The Public Health Administrative Study of the Structural Indices for Villages on the Base of Community Medical Services

Abstract

This attempts was made to analyse by applying the methods of the variation comparison and correlation analysis for 32 structural indices concerned 23 villages in Iwate-Ken during 10 years from 1960 to 1970 on the base of 5 years', 3 years' average and a year in accordance with the characteristics of indices. The groups of structural indices were classf ied 3 groups of the health with 11 indices, agricultural with 9 indices, and social with 12 indices. According to the results of this study, the group with the lowest variation of indices was agricultural structure accepted as? significant with all positive rates on the rank correlation relationship of indices between 1960 and 1970. The next group was social structure and the group of health structure had the highest variation among 3 groups. The ratio of items accepted as significant of the rank correlation for the mutual items ofjndices in 1960 was 31.8% for total items, and the ratio in 1970 was 18.8%. The number of indices items accepted as significant in company with 1960 in 1970 was 60 items and this ratio was 6.1% for total items. The feature of village structure was found a tendency to take the higher mortality rates with higher birth rates in 1960, and also the index of infant mortality rate and the other maternal children health indices had the very important view points of analysis for villege structures. In 1970, the feature had a tendency with relation of mortality in connection with the chronic diseases for the elderly people, so called, cerebral vascular disease and hypertension, cancer and heart disease. The village structures were divided 2 major structural zone of rice bowl and farm as the results of indices analysis. Although the zone of rice bowl had a feature of high mortality rate for the elderly people, the level of medical services and finance of villages was higher than the level of farm zone. The farm zone had not only a feature of higher birth rates, but also the relative lower level for social structure within 23 villages. But the mortality of cerebral vascular disease and hypertension had even though increased at the farm zone in 1970. The results classf ied on similar types of ranking 23 villages on the base of indices linkages with highly significant correlation both 1960 and 1970 were f ormd 3 types of classification accepted the system area of Kitakami mountains, Kitakami plain area and the other neigboured area. The level of 23 villages structures was founded that the lowest level was the Kitakami mountains area mostly appropriated with the farm zone and the highest level was Kitakami plain area nearly appropriated with the zone of rice bowl and the other neigboured area was an intermediate rank.